The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study
Pain in older adults is an increasing concern in low- and middle-income countries (LMICs), with literature suggesting an association with past traumatic events (TEs) in high-income settings. We aim to investigate this relationship in a population-representative sample of older adults with high burde...
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| description | Pain in older adults is an increasing concern in low- and middle-income countries (LMICs), with literature suggesting an association with past traumatic events (TEs) in high-income settings. We aim to investigate this relationship in a population-representative sample of older adults with high burden of TEs in a rural South African community.
The Health and Aging in Africa: A longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study collected data pain intensity, using the Brief Pain Inventory, and TEs with a 16-item questionnaire, from 2411 participants aged 40-79 in 2014-15. We used logistic regression models to test the association between TE exposure and self-reported pain status.
TE experience was near-universal (99.1% experience of at least one), while 9.0% of participants reported current pain, of which 86.6% was moderate/severe. In multivariable regression, increased odds of moderate/severe pain was associated with more TEs of any kind (OR 1.08; 95%CI 1.02-1.15 per additional TE) and with past exposure to disasters, accidents and illnesses (men and women), violence in the community (women only) and social/family environment problems (men only)-but not with childhood or war-related TEs.
TEs were associated with pain even within a rural resource-limited setting where trauma experiences were extremely common. However, associations varied by TE type and sex. Interventions to prevent pain in older adults need to be targeted to block specific mechanisms that vary within even at-risk populations. |
| doi_str_mv | 10.1371/journal.pone.0313140 |
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The Health and Aging in Africa: A longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study collected data pain intensity, using the Brief Pain Inventory, and TEs with a 16-item questionnaire, from 2411 participants aged 40-79 in 2014-15. We used logistic regression models to test the association between TE exposure and self-reported pain status.
TE experience was near-universal (99.1% experience of at least one), while 9.0% of participants reported current pain, of which 86.6% was moderate/severe. In multivariable regression, increased odds of moderate/severe pain was associated with more TEs of any kind (OR 1.08; 95%CI 1.02-1.15 per additional TE) and with past exposure to disasters, accidents and illnesses (men and women), violence in the community (women only) and social/family environment problems (men only)-but not with childhood or war-related TEs.
TEs were associated with pain even within a rural resource-limited setting where trauma experiences were extremely common. However, associations varied by TE type and sex. Interventions to prevent pain in older adults need to be targeted to block specific mechanisms that vary within even at-risk populations.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0313140</identifier><identifier>PMID: 39680533</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Aged ; Analysis ; Apartheid ; Children ; Chronic pain ; Civil war ; Cross-Sectional Studies ; Earth Sciences ; Ethics ; Female ; Humans ; Longitudinal Studies ; Male ; Mediation ; Medicine and Health Sciences ; Men ; Mental disorders ; Middle Aged ; Older people ; Pain ; Pain - epidemiology ; People and places ; Population ; Population studies ; Post traumatic stress disorder ; Psychopathology ; Questionnaires ; Regression analysis ; Regression models ; Rural Population ; Social networks ; Social Sciences ; South Africa - epidemiology ; Surveys ; Surveys and Questionnaires ; Trauma ; Violence ; Women</subject><ispartof>PloS one, 2024-12, Vol.19 (12), p.e0313140</ispartof><rights>Copyright: © 2024 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Wang et al 2024 Wang et al</rights><rights>2024 Wang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c572t-e31f339a214bd5eb495f69a28f303c64f439b2186c7916faf0325b15eee60d613</cites><orcidid>0000-0002-1695-5835 ; 0000-0001-6604-491X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649084/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649084/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39680533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Faruk, Mohammed</contributor><creatorcontrib>Wang, Ting Ting</creatorcontrib><creatorcontrib>Payne, Collin</creatorcontrib><creatorcontrib>Mall, Sumaya</creatorcontrib><creatorcontrib>Tollman, Stephen</creatorcontrib><creatorcontrib>Harling, Guy</creatorcontrib><title>The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pain in older adults is an increasing concern in low- and middle-income countries (LMICs), with literature suggesting an association with past traumatic events (TEs) in high-income settings. We aim to investigate this relationship in a population-representative sample of older adults with high burden of TEs in a rural South African community.
The Health and Aging in Africa: A longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study collected data pain intensity, using the Brief Pain Inventory, and TEs with a 16-item questionnaire, from 2411 participants aged 40-79 in 2014-15. We used logistic regression models to test the association between TE exposure and self-reported pain status.
TE experience was near-universal (99.1% experience of at least one), while 9.0% of participants reported current pain, of which 86.6% was moderate/severe. In multivariable regression, increased odds of moderate/severe pain was associated with more TEs of any kind (OR 1.08; 95%CI 1.02-1.15 per additional TE) and with past exposure to disasters, accidents and illnesses (men and women), violence in the community (women only) and social/family environment problems (men only)-but not with childhood or war-related TEs.
TEs were associated with pain even within a rural resource-limited setting where trauma experiences were extremely common. However, associations varied by TE type and sex. Interventions to prevent pain in older adults need to be targeted to block specific mechanisms that vary within even at-risk populations.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Analysis</subject><subject>Apartheid</subject><subject>Children</subject><subject>Chronic pain</subject><subject>Civil war</subject><subject>Cross-Sectional Studies</subject><subject>Earth Sciences</subject><subject>Ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mediation</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>People and places</subject><subject>Population</subject><subject>Population studies</subject><subject>Post traumatic stress disorder</subject><subject>Psychopathology</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Rural Population</subject><subject>Social networks</subject><subject>Social Sciences</subject><subject>South Africa - epidemiology</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Trauma</subject><subject>Violence</subject><subject>Women</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7of-A9GAsOjFjEmTpq03Mix-DCwsuKu3IU1PphkyTTdpV_fSf25mprtMZS-khTYnz3lP8_acJHlF8JzQnHxYu8G30s4718IcU0IJw0-SY1LSdMZTTJ8evB8lJyGsMc5owfnz5IiWvIgLepz8uW4AebCyN64NjelQBf0vgBZZo0HFGgFQ7-WwiYRCcAttH5Bsa9RJ06J4yxY5W4NHfvDSois39A1aaG9U3OlcN-y1P6IFUt6FMAugtoHIhn6o714kz7S0AV6Oz9Pkx5fP1-ffZheXX5fni4uZyvK0nwElmtJSpoRVdQYVKzPN47LQFFPFmWa0rFJScJWXhGupMU2zimQAwHHNCT1N3ux1O-uCGN0LItqW8TRNaR6J5Z6onVyLzpuN9HfCSSN2AedXQvroggWR5qWklS45zjBTHFdURxmpmSJ5zWuIWp_GakO1gVpF26I7E9HpTmsasXK3ghDOSlywqPBuVPDuZoDQi40JCqyVLbhh9-G8xGVOeUTf_oM-fryRWsl4AtNqFwurrahYFCnGOWPZlpo_QsWrho1Rsde0ifFJwvtJQmR6-N2v5BCCWF59_3_28ueUPTtgG5C2b4Kzw65RpyDbg7v28qAfXCZYbEfl3g2xHRUxjkpMe334hx6S7meD_gVMZg9E</recordid><startdate>20241216</startdate><enddate>20241216</enddate><creator>Wang, Ting Ting</creator><creator>Payne, Collin</creator><creator>Mall, Sumaya</creator><creator>Tollman, Stephen</creator><creator>Harling, Guy</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1695-5835</orcidid><orcidid>https://orcid.org/0000-0001-6604-491X</orcidid></search><sort><creationdate>20241216</creationdate><title>The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study</title><author>Wang, Ting Ting ; Payne, Collin ; Mall, Sumaya ; Tollman, Stephen ; Harling, Guy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-e31f339a214bd5eb495f69a28f303c64f439b2186c7916faf0325b15eee60d613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Analysis</topic><topic>Apartheid</topic><topic>Children</topic><topic>Chronic pain</topic><topic>Civil war</topic><topic>Cross-Sectional Studies</topic><topic>Earth Sciences</topic><topic>Ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mediation</topic><topic>Medicine and Health Sciences</topic><topic>Men</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Pain</topic><topic>Pain - epidemiology</topic><topic>People and places</topic><topic>Population</topic><topic>Population studies</topic><topic>Post traumatic stress disorder</topic><topic>Psychopathology</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Rural Population</topic><topic>Social networks</topic><topic>Social Sciences</topic><topic>South Africa - epidemiology</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Trauma</topic><topic>Violence</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Ting Ting</creatorcontrib><creatorcontrib>Payne, Collin</creatorcontrib><creatorcontrib>Mall, Sumaya</creatorcontrib><creatorcontrib>Tollman, Stephen</creatorcontrib><creatorcontrib>Harling, Guy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Ting Ting</au><au>Payne, Collin</au><au>Mall, Sumaya</au><au>Tollman, Stephen</au><au>Harling, Guy</au><au>Faruk, Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-16</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0313140</spage><pages>e0313140-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pain in older adults is an increasing concern in low- and middle-income countries (LMICs), with literature suggesting an association with past traumatic events (TEs) in high-income settings. We aim to investigate this relationship in a population-representative sample of older adults with high burden of TEs in a rural South African community.
The Health and Aging in Africa: A longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study collected data pain intensity, using the Brief Pain Inventory, and TEs with a 16-item questionnaire, from 2411 participants aged 40-79 in 2014-15. We used logistic regression models to test the association between TE exposure and self-reported pain status.
TE experience was near-universal (99.1% experience of at least one), while 9.0% of participants reported current pain, of which 86.6% was moderate/severe. In multivariable regression, increased odds of moderate/severe pain was associated with more TEs of any kind (OR 1.08; 95%CI 1.02-1.15 per additional TE) and with past exposure to disasters, accidents and illnesses (men and women), violence in the community (women only) and social/family environment problems (men only)-but not with childhood or war-related TEs.
TEs were associated with pain even within a rural resource-limited setting where trauma experiences were extremely common. However, associations varied by TE type and sex. Interventions to prevent pain in older adults need to be targeted to block specific mechanisms that vary within even at-risk populations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39680533</pmid><doi>10.1371/journal.pone.0313140</doi><tpages>e0313140</tpages><orcidid>https://orcid.org/0000-0002-1695-5835</orcidid><orcidid>https://orcid.org/0000-0001-6604-491X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Adults Aged Analysis Apartheid Children Chronic pain Civil war Cross-Sectional Studies Earth Sciences Ethics Female Humans Longitudinal Studies Male Mediation Medicine and Health Sciences Men Mental disorders Middle Aged Older people Pain Pain - epidemiology People and places Population Population studies Post traumatic stress disorder Psychopathology Questionnaires Regression analysis Regression models Rural Population Social networks Social Sciences South Africa - epidemiology Surveys Surveys and Questionnaires Trauma Violence Women |
| title | The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study |
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